Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU...

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Autores: Labeau, Sonia O., Afonso, Elsa, Benbenishty, Julie, Blackwood, Bronagh, Boulanger, Carole, Brett, Stephen J., Calvino-Gunther, Silvia, Chaboyer, Wendy, Coyer, Fiona, Deschepper, Mieke, François, Guy, Honore, Patrick M., Jankovic, Radmilo, Khanna, Ashish K., Llauradó-Serra, Mireia, Lin, Frances, Rose, Louise, Rubulotta, Francesca, Saager, Leif, Williams, Ged, Blot, Stijn I.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/218552
Acceso en línea:https://hdl.handle.net/2445/218552
Access Level:acceso abierto
Palabra clave:Mortalitat
Adults
Unitats de cures intensives
Úlcera per pressió
Mortality
Adulthood
Intensive care units
Bedsores
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spelling Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs studyLabeau, Sonia O.Afonso, ElsaBenbenishty, JulieBlackwood, BronaghBoulanger, CaroleBrett, Stephen J.Calvino-Gunther, SilviaChaboyer, WendyCoyer, FionaDeschepper, MiekeFrançois, GuyHonore, Patrick M.Jankovic, RadmiloKhanna, Ashish K.Llauradó-Serra, MireiaLin, FrancesRose, LouiseRubulotta, FrancescaSaager, LeifWilliams, GedBlot, Stijn I.MortalitatAdultsUnitats de cures intensivesÚlcera per pressióMortalityAdulthoodIntensive care unitsBedsoresPurpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9-27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6-16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score < 19, ICU stay > 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2-1.8), stage II (OR 1.6; 95% CI 1.4-1.9), and stage III or worse (OR 2.8; 95% CI 2.3-3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat.Springer Verlag2025202520212025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10 p.application/pdfhttps://hdl.handle.net/2445/218552Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1007/s00134-020-06234-9Intensive Care Medicine, 2021, vol. 47, p. 160-169https://doi.org/10.1007/s00134-020-06234-9cc by-nc (c) Labeau, Sonia O. et al., 2021https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2185522026-05-29T05:05:01Z
dc.title.none.fl_str_mv Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
title Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
spellingShingle Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Labeau, Sonia O.
Mortalitat
Adults
Unitats de cures intensives
Úlcera per pressió
Mortality
Adulthood
Intensive care units
Bedsores
title_short Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
title_full Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
title_fullStr Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
title_full_unstemmed Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
title_sort Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
dc.creator.none.fl_str_mv Labeau, Sonia O.
Afonso, Elsa
Benbenishty, Julie
Blackwood, Bronagh
Boulanger, Carole
Brett, Stephen J.
Calvino-Gunther, Silvia
Chaboyer, Wendy
Coyer, Fiona
Deschepper, Mieke
François, Guy
Honore, Patrick M.
Jankovic, Radmilo
Khanna, Ashish K.
Llauradó-Serra, Mireia
Lin, Frances
Rose, Louise
Rubulotta, Francesca
Saager, Leif
Williams, Ged
Blot, Stijn I.
author Labeau, Sonia O.
author_facet Labeau, Sonia O.
Afonso, Elsa
Benbenishty, Julie
Blackwood, Bronagh
Boulanger, Carole
Brett, Stephen J.
Calvino-Gunther, Silvia
Chaboyer, Wendy
Coyer, Fiona
Deschepper, Mieke
François, Guy
Honore, Patrick M.
Jankovic, Radmilo
Khanna, Ashish K.
Llauradó-Serra, Mireia
Lin, Frances
Rose, Louise
Rubulotta, Francesca
Saager, Leif
Williams, Ged
Blot, Stijn I.
author_role author
author2 Afonso, Elsa
Benbenishty, Julie
Blackwood, Bronagh
Boulanger, Carole
Brett, Stephen J.
Calvino-Gunther, Silvia
Chaboyer, Wendy
Coyer, Fiona
Deschepper, Mieke
François, Guy
Honore, Patrick M.
Jankovic, Radmilo
Khanna, Ashish K.
Llauradó-Serra, Mireia
Lin, Frances
Rose, Louise
Rubulotta, Francesca
Saager, Leif
Williams, Ged
Blot, Stijn I.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Mortalitat
Adults
Unitats de cures intensives
Úlcera per pressió
Mortality
Adulthood
Intensive care units
Bedsores
topic Mortalitat
Adults
Unitats de cures intensives
Úlcera per pressió
Mortality
Adulthood
Intensive care units
Bedsores
description Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9-27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6-16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score < 19, ICU stay > 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2-1.8), stage II (OR 1.6; 95% CI 1.4-1.9), and stage III or worse (OR 2.8; 95% CI 2.3-3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat.
publishDate 2021
dc.date.none.fl_str_mv 2021
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/218552
url https://hdl.handle.net/2445/218552
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1007/s00134-020-06234-9
Intensive Care Medicine, 2021, vol. 47, p. 160-169
https://doi.org/10.1007/s00134-020-06234-9
dc.rights.none.fl_str_mv cc by-nc (c) Labeau, Sonia O. et al., 2021
https://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc (c) Labeau, Sonia O. et al., 2021
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Verlag
publisher.none.fl_str_mv Springer Verlag
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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